Dental Extractions A tooth extraction is the removal of a tooth from the mouth. Dental extractions are most often performed because a tooth has sustained damage or decay, or cannot be saved by Root Canal treatment, or to prepare for the placement of a Dental Implant. Advanced gum disease may be another contributing factor in a tooth extraction. Other reasons for a tooth extraction include making space in the mouth for braces or other orthodontic treatment, or in the case of pediatric patients, to allow room for adult teeth to grow. A tooth that has fully erupted through the gum line can usually be removed as easily as any other tooth via a regular extraction. A wisdom tooth or other tooth that is impacted or is still under the gumline or embedded in the jaw bone may require a surgical extraction, which is a form of oral surgery. A surgical extraction means your dentist will make an incision along your gum line to expose the tooth, and remove any bone that is still covering the tooth to allow it to be removed. Your dental insurance may cover all or a portion of surgical tooth extractions.